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ABSTRACT A 20-year-old Arabian mare, was brought to the obstetrics and gynecology clinic with the complaint of an unknown wound in the genital area. Although the mare's general condition was good, examination of the genital area revealed a wide-open wound in the vulva and posterior vagina, characterized by fibrotic growth. The biopsy sample was sent to the pathology laboratory. A diagnosis of squamous cell carcinoma (SCC) was made after histopathological examination. Blood samples for serum biochemistry and hematological tests were collected from the jugular vein. Hematological and serum biochemical findings are generally used to diagnose diseases in animals and humans. Hematological and serum biochemical findings are important with genital SCC. Therefore, the findings of these values are given in this case report.

ABSTRACT Introduction We evaluated the clinical and radiological outcomes of capitellar fractures treated with modified screw insertion (inserting the first fixation screw anteroposteriorly and the second screw posteroanteriorly), a technique that can be applied with a minimally invasive lateral elbow approach. Materials and Methods Twenty-one isolated capitellum fractures that were surgically treated were included in the study. Fixation was achieved with two headless cannulated compression screws placed in anteroposterior and posteroanterior order using the modified lateral elbow approach. The Broberg-Morrey rating system was used to assess the post-operative functional status of the patients. Results According to the Broberg-Morrey criteria, the mean score was 92.7 (77-100) and 13 cases had excellent, 7 had good, and 1 had fair results. None of the patients developed avascular necrosis or heterotopic ossification. According to the Broberg-Morrey arthrosis score, two cases had Grade 1 and one had Grade 2 arthrosis. One patient had a superficial wound site infection that was treated with antibiotics, and in one case a 60° extension loss was observed in the elbow. Conclusion Treatment of isolated capitellar fractures with 2 headless screws placed anteroposteriorly and posteroanteriorly can provide stable fixation and is less traumatic for the elbow joint. Level of Evidence IV; Therapeutic Studies - Investigating the results of treatment.

O presente estudo teve como objetivo analisar mutuamente a autoconfiança e a inteligência cultural de candidatos a professores de educação física e de ciências e literatura. O modelo de estudo transversal quantitativo foi usado no estudo e 320 candidatos a professores participaram voluntariamente. Os participantes foram escolhidos de acordo com o método de amostragem conveniente. Para a coleta de dados, foram utilizados a escala de autoconfiança (AKIN, 2007) e o inventário de inteligência cultural (İLHAN; ÇETIN, 2014). Nas análises das amostras independentes de dados foi utilizado o teste t e o controle de correlação parcial para a variável docente. Como resultado, o presente artigo mostrou que os candidatos a professores de educação física tinham maior autoconfiança e inteligência cultural metacognitiva do que os candidatos a professores de literatura. Por outro lado, os candidatos a professores de ciências e literatura apresentaram níveis mais elevados de inteligência cultural cognitiva e comportamental do que os candidatos a professores de educação física. Autoconfiança e inteligência cultural se correlacionaram.

Introduction: Fragmented QRS complexes (fQRS) are a sign of myocardial scar and are associated with adverse outcomes and mortality in patients with coronary artery disease (CAD). However, little is known about the significance of fQRS or of their localization on electrocardiography (ECG) in patients without known CAD. We aimed to investigate the association between localization of fQRS on ECG and CAD severity in patients undergoing a first diagnostic coronary angiography. Methods: We enrolled 135 consecutive patients who had a narrow fQRS on ECG and underwent a first diagnostic coronary angiography. Patients were divided into two groups based on localization of fQRS on ECG (group 1: fQRS in the inferior leads, group 2: fQRS in the anterior leads). The groups were compared regarding the presence of significant CAD, multivessel disease (MVD) and SYNTAX score (SXscore). Results: Eighty-six (63.7%) patients had fQRS in the inferior leads and 49 (36.3%) had fQRS in the anterior leads. There was no statistically significant difference between the groups regarding presence of significant CAD (47.7% vs. 51%, p=0.708). However, the incidence of MVD was significantly higher in group 2 compared to group 1 (10.5% vs. 28.6%, p=0.007). The median SXscore (6 [3,12] vs. 8 [4,24], p=0.047), and incidence of patients with SXscore >22 were significantly higher in group 2 compared to group 1 (3.5% vs. 20.4%, p=0.009). Conclusion: The presence of fQRS in the anterior leads may indicate more severe CAD compared to fQRS in the inferior leads in patients undergoing a first diagnostic coronary angiography. Resumo: Introdução: O QRS fragmentado (QRSf) é um sinal de cicatriz miocárdica e está associado a resultados adversos e a mortalidade em doentes com doença coronária (DC). No entanto, não existem dados claros sobre o significado de QRSf e sobre a localização do QRSf no eletrocardiograma (ECG) em doentes com DC conhecida. Este artigo tem o objetivo de investigar a associação entre a localização do QRSf no ECG e a gravidade da DC em doentes submetidos a um primeiro diagnóstico por angiografia coronária. Métodos: Foram registados neste estudo 135 doentes consecutivos que apresentaram um QRSf estreito no ECG e foram submetidos a um primeiro diagnóstico por angiografia coronária. Os doentes foram divididos em dois grupos, com base na localização do QRSf no ECG (grupo 1: QRSf nas derivações inferiores; grupo 2: QRSf nas derivações anteriores). Foi feita a comparação entre os dois grupos atendendo à presença de DC significativa, doença multivasos (DMV) e score SYNTAX (score SX). Resultados: Oitenta e seis (63,7%) doentes apresentaram QRSf nas derivações inferiores e 49 (36,3%) doentes nas derivações anteriores. Não se registou diferença estatística significativa entre os dois grupos relativamente à presença de DC significativa (47,7 versus 51%, p=0,708). No entanto, a incidência de doentes com DMV foi significativamente superior no grupo 2, quando comparado com o grupo 1 (10,5 versus 28,6%, p=0,007). O score SX médio (6 [3,12] versus 8 [4,24], p=0,047) e a incidência de doentes com score SX > 22 foram significativamente superiores no grupo 2, quando comparado com o grupo 1 (3,5 versus 20,4%, p=0,009). Conclusão: A presença de QRSf nas derivações anteriores pode estimular mais a DC grave, quando comparado com o QRSf nas derivações inferiores dos doentes submetidos a primeiro diagnóstico por angiografia coronária. Keywords: Fragmented QRS, Coronary artery disease, Coronary angiography, SYNTAX score, Palavras-chave: QRS fragmentado, Doença arterial coronária, Angiografia coronária, Score SYNTAX

Abstract Background: Fragmented QRS (fQRS) is a sign of adverse cardiovascular events in various cardiovascular diseases. It is also associated with increased blood pressure and non-dipping in hypertensive patients. However, no study has investigated the importance of fQRS in prehypertensive patients. Objectives: The aim of our study is to investigate the relationship between fQRS and non-dipper status in prehypertensive patients. Methods: Two hundred and sixteen eligible, newly diagnosed prehypertensive patients who underwent 24-hour ambulatory blood pressure monitoring (ABPM) for further evaluation of blood pressure between June 2015 and July 2016 were included into the study. Patients were divided into three groups according to ABPM results: normotensives, dipper prehypertensives, and non-dipper prehypertensives. Groups were compared regarding presence of fQRS on electrocardiography. Additionally, multinomial logistic regression analysis was used to determine the relationship between fQRS and blood pressure pattern in prehypertensive patients. Results: According to ABPM recordings, 61 patients had normotensive blood pressure pattern (systolic blood pressure < 120 mmHg and diastolic blood pressure < 80 mmHg). Of the remaining 155 prehypertensive patients, 83 were dippers and 72 were non-dippers. Non-dipper prehypertensives had a significantly higher frequency of fQRS compared to normotensives (p = 0.048). Furthermore, multinomial logistic regression analysis revealed that fQRS is an independent predictor of non-dipping blood pressure pattern in prehypertensive patients (p = 0.017, OR: 4.071, 95% CI: 1.281-12.936). Conclusions: We found that fQRS is a predictor of non-dipping in prehypertensives. As a marker of fibrosis and higher fibrotic burden within myocardium, fQRS may be useful in identifying high-risk prehypertensive patients before the development of hypertension.

ABSTRACT: Citrus is an important export commodity, mostly grown on Mediterranean and Aegean coasts of Turkey. Weeds are hidden foes impairing citrus productivity. Limited knowledge of weed distribution and factors affecting the distribution are among major hurdles in successful weed management. In this study, weed flora of citrus orchards and factors affecting its distributions in Mugla province of Turkey were determined. Sixty orchards were surveyed in spring and autumn seasons of 2010 and 2011. Data relating to frequency, coverage and density of weed species were recorded. Soil samples (0-30 cm depth) were collected and analyzed for physicochemical properties. Climatic variables, altitude and soil properties were correlated with weed flora. Sixty-eight weed species belonging to 30 families were documented. Higher number of weed species (54) was recorded in spring season compared with autumn (29 weed species). Annuals and therophytes were the most dominant growth and life forms, respectively. Canonical Correspondence Analysis (CCA) to correlate soil properties and weed vegetation data yielded three distinct groups dominated by phosphorus, sand and silt contents, which affected weed distribution. CCA to correlate vegetation data and weather attributes produced two distinct groups affected by altitude and precipitation. Generally, cosmopolitan weeds adapted to different ecosystems were observed during the survey. Keeping in view the spatial variability of soil and nature of weeds, site-specific/orchard-specific weed management practices are recommended to be opted for successful weed management.

Abstract Background: Only a small proportion of patients referred for coronary angiography with suspected coronary artery disease (CAD) have the diagnosis of obstructive CAD confirmed by the exam. For this reason, further strategies for risk stratification are necessary. Objective: To investigate the relationship of the presence of fragmented QRS (fQRS) on admission electrocardiogram with angiographically detected CAD and CAD severity in patients without known vascular diseases and myocardial fibrosis, undergoing first diagnostic coronary angiography. Methods: We enrolled 336 consecutive patients undergoing coronary angiography for suspected CAD. The patients were divided into two groups according to the presence or absence of fQRS on admission. We compared the groups regarding the presence and severity of CAD. Results: Seventy-nine (23.5%) patients had fQRS on admission. There was not a statistically significant difference between patients with fQRS (41.8%) and non-fQRS (30.4%), regarding the presence of CAD (p = 0.059). However, there was a statistically significant difference between patients with fQRS and non-fQRS regarding the presence of stenotic CAD (40.5% vs. 10.5%, p22 compared to patients with SYNTAX score ≤22. Conclusions: Our findings suggest that fQRS may be an indicator of early-stage myocardial damage preceding the appearance of fibrosis and scar, and may be used for risk stratification in patients undergoing first diagnostic coronary angiography

Abstract Fistula from left internal mammary artery (LIMA) to pulmonary artery (PA) is rarely encountered in daily practice. In recent years, endovascular therapy options have emerged for the treatment of fistula formations and replaced with surgery. A 53-year-old man admitted to our outpatient clinic with symptoms of typical angina and shortness of breath despite optimal medical therapy. In his relevant history, he had a coronary artery bypass graft (CABG) operation in 2009 in which his LIMA was anastomosed to left anterior descending (LAD) and ramus artery sequentially. Coronary angiography including selective imaging of LIMA demonstrated a fistula formation originating from the proximal portion of the LIMA and draining to PA. After successful closure of fistula with transcatheter coil embolization, the patient was discharged without any complication and symptom. In conclusion, although LIMA to PA fistula is an infrequent clinical condition, it should be considered as a potential cause of persistent angina after CABG operation. Treatment options include conservative medical therapy, surgical ligation and endovascular interventions. The best therapy should be individualised for each patient in respect to patient’s symptoms, surgical compatibility and anatomy of fistula.